Provider Demographics
NPI:1740555150
Name:ARIAS AND PANIAGUA DDS INC.
Entity type:Organization
Organization Name:ARIAS AND PANIAGUA DDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NED
Authorized Official - Middle Name:
Authorized Official - Last Name:PANIAGUA
Authorized Official - Suffix:
Authorized Official - Credentials:D,M,D
Authorized Official - Phone:909-930-2500
Mailing Address - Street 1:2448 S VINEYARD AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-6488
Mailing Address - Country:US
Mailing Address - Phone:909-930-2500
Mailing Address - Fax:909-930-2533
Practice Address - Street 1:2448 S VINEYARD AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-6488
Practice Address - Country:US
Practice Address - Phone:909-930-2500
Practice Address - Fax:909-930-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA601361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty